Clinical characteristics of oldest-old patients with ischemic stroke
| Autor: | Toshiro Yonehara, Yukio Ando, Shizuka Harada, Makoto Nakajima, Yuichiro Inatomi |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Severe stroke Severity of Illness Index Early admission 03 medical and health sciences Sex Factors 0302 clinical medicine Fibrinolytic Agents Risk Factors Acute care Internal medicine Atrial Fibrillation Antithrombotic Secondary Prevention medicine Humans Hospital Mortality Aged Retrospective Studies Aged 80 and over Secondary prevention Cerebral Revascularization business.industry Age Factors Atrial fibrillation Atherosclerosis Prognosis Oldest old medicine.disease Stroke Ischemic stroke Female Neurology (clinical) business Delivery of Health Care 030217 neurology & neurosurgery |
| Zdroj: | Rinsho Shinkeigaku. 59:125-132 |
| ISSN: | 1882-0654 0009-918X |
| DOI: | 10.5692/clinicalneurol.cn-001262 |
| Popis: | We divided acute ischemic stroke patients into an oldest old group (≥90 years, n = 414) and an elderly group (75-89 years, n = 1,927), and compared the clinical characteristics between the two groups. Female sex, early admission, severe stroke on admission, atrial fibrillation, and cardioembolic stoke were significantly more frequent in the oldest-old group. On the other hand, risk factors associated with atherosclerosis were less frequent in the oldest-old group. There were no differences in hyper-acute recanalization therapy between the two groups, whereas antithrombotic therapy for secondary prevention at discharge was introduced less frequently in the oldest-old group than in the elderly group. Death prior to discharge from the acute care hospital , and death at 3 months were significantly more frequent in the oldest-old group. Moreover, in the oldest old group, severe stroke and atrial fibrillation were independent predictors for both death prior to discharge from the acute care hospital and at 3 months after onset. Oldest-old stroke patients had poor outcome, although they had received aggressive treatment as same as elderly patients. Therefore, as the number of oldest-old stroke patients is increasing, the demand for cooperation in the healthcare system is likely to grow, including acute care hospitals. |
| Databáze: | OpenAIRE |
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